Healthcare Provider Details

I. General information

NPI: 1750243242
Provider Name (Legal Business Name): SARIKA PATEL DNP, AGACNP-BC, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

865 STONE ST
RAHWAY NJ
07065-2742
US

IV. Provider business mailing address

865 STONE ST
RAHWAY NJ
07065-2742
US

V. Phone/Fax

Practice location:
  • Phone: 732-381-4200
  • Fax:
Mailing address:
  • Phone: 732-381-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number26NJ15384200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: